| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,082 |
46,165 |
$3.40M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,578 |
28,163 |
$2.99M |
| 99199 |
Unlisted special service, procedure or report |
455,689 |
270,850 |
$2.70M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,807 |
11,463 |
$1.14M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,809 |
10,689 |
$1.03M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,926 |
7,957 |
$881K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18,254 |
16,481 |
$750K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30,729 |
27,417 |
$600K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15,778 |
12,383 |
$565K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,633 |
5,921 |
$542K |
| 99051 |
|
11,680 |
10,007 |
$297K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20,741 |
9,161 |
$284K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27,610 |
25,298 |
$260K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27,215 |
23,846 |
$250K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
8,556 |
7,617 |
$249K |
| D0145 |
Oral evaluation for a patient under three years of age |
3,525 |
3,333 |
$116K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
302 |
288 |
$91K |
| 69210 |
|
2,612 |
2,425 |
$88K |
| 87430 |
|
6,055 |
5,495 |
$84K |
| 90651 |
|
3,630 |
3,232 |
$74K |
| 92551 |
|
25,886 |
23,123 |
$61K |
| D1206 |
Topical application of fluoride varnish |
3,536 |
3,332 |
$51K |
| 96127 |
|
11,930 |
10,561 |
$49K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,131 |
1,057 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
325 |
316 |
$41K |
| 83655 |
|
2,212 |
2,060 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
10,906 |
9,619 |
$29K |
| 90734 |
|
1,612 |
1,472 |
$28K |
| 81002 |
|
13,110 |
11,765 |
$26K |
| 99381 |
|
287 |
276 |
$24K |
| 0071A |
|
517 |
312 |
$21K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,886 |
1,562 |
$20K |
| 0072A |
|
457 |
271 |
$20K |
| 99173 |
|
26,003 |
23,274 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
525 |
479 |
$18K |
| 96161 |
|
4,806 |
4,068 |
$17K |
| 0001A |
|
325 |
239 |
$14K |
| 0002A |
|
208 |
176 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
720 |
365 |
$11K |
| 90686 |
|
8,318 |
7,362 |
$9K |
| 99070 |
|
1,265 |
1,041 |
$9K |
| 82465 |
|
1,705 |
1,658 |
$9K |
| 90715 |
|
1,282 |
1,211 |
$8K |
| 99383 |
|
58 |
58 |
$5K |
| 90619 |
|
1,217 |
1,042 |
$4K |
| 95117 |
|
407 |
199 |
$4K |
| 92587 |
|
154 |
151 |
$4K |
| 86403 |
|
288 |
271 |
$3K |
| G9919 |
Screening performed and positive and provision of recommendations |
96 |
96 |
$3K |
| 90633 |
|
3,707 |
3,432 |
$2K |
| 90716 |
|
3,195 |
2,935 |
$2K |
| 90620 |
|
457 |
415 |
$2K |
| 94664 |
|
145 |
115 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
23 |
$523.57 |
| 87807 |
|
34 |
25 |
$441.57 |
| 90707 |
|
3,046 |
2,789 |
$338.34 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$324.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$237.44 |
| 91300 |
|
704 |
528 |
$186.34 |
| 91307 |
|
999 |
634 |
$126.09 |
| 90744 |
|
1,537 |
1,467 |
$95.60 |
| 86308 |
|
12 |
12 |
$76.56 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
26 |
25 |
$65.31 |
| 90700 |
|
495 |
478 |
$29.44 |
| 90670 |
|
5,618 |
5,144 |
$0.00 |
| 90681 |
|
269 |
269 |
$0.00 |
| 90685 |
|
711 |
691 |
$0.00 |
| 90698 |
|
3,418 |
3,164 |
$0.00 |
| 90680 |
|
2,292 |
2,102 |
$0.00 |
| 90647 |
|
389 |
381 |
$0.00 |
| 90696 |
|
694 |
663 |
$0.00 |
| 90677 |
|
546 |
542 |
$0.00 |
| 90656 |
|
150 |
146 |
$0.00 |
| 99174 |
|
132 |
121 |
$0.00 |